Media

The state of Texas has asked a federal judge to fine Planned Parenthood more than $1 billion for filing “thousands” of fraudulent Medicaid claims over multiple years — allegations the same Planned Parenthood affiliate has settled in the past. With … Read More

We’re learning more about NewFound Hope, the company behind the operation that is under state investigation. Both the state’s Medicaid agency and the Department of Health Services (DHS) are investigating NewFound Hope. Records show dozens of people have been housed … Read More

Medicaid in Texas covers close to 6 million people, everyone from cancer patients to pregnant people to kids across the state. That coverage means people have access to doctor’s appointments, hospital visits, nursing facilities and birth centers, without having to … Read More

To support the OIG’s belief that preventing fraud, waste and abuse is everyone’s responsibility, the agency provides training to stakeholders and collaborates with agency partners to improve best practices. Recently, the OIG collaborated with the HHS Procurement and Contracting Services … Read More

Pediatric dentists in Alaska say they are facing serious problems with Medicaid paperwork since the state changed its policies on service authorizations last year. Those providers are worried that kids in rural Alaska are losing access to care. “It’s worse … Read More

BOSTON – A Chelmsford dentist was sentenced today in federal court in Worcester for engaging in a Medicaid Fraud Scheme. Dr. Scott Cale, 68, was sentenced by U.S. District Court Judge Margaret R. Guzman to 18 months in prison and … Read More

WASHINGTON – A state hotline has helped thousands of victims in the two months since state officials uncovered a string of fraudulent Medicaid-funded addiction care facilities in Arizona, but the exact scale of the problem is still unknown. Navajo officials … Read More

The life of an NBA athlete can be very tumultuous, to say the least. Filled with various ups and downs, from injuries to failed relationships, the toll of being a pro-athlete comes with a price. While successes in the NBA … Read More

After a whistleblower lawsuit accused Takeda and its subsidiaries of Medicaid fraud through illegal reimbursement arrangements and paid referrals in Texas, the company has agreed to pay more than $42 million to settle the claims. The Texas Attorney General’s Civil … Read More

BRIDGEPORT — The government has reached a settlement with a Bridgeport-based health care provider to resolve allegations that it committed Medicare fraud, officials say. Optimus Health Care, a federally qualified health center based in Bridgeport, entered into a settlement agreement … Read More

An assisted living operator has been indicted on multiple fraud charges for allegedly failing to document services provided and for allegedly submitting false Medicaid claims. Abdoulie Lowe, who ran Apapa Assisted Living Home in Anchorage, AK, was indicted on six … Read More

Four people have been charged with defrauding the Minnesota Medical Assistance Program (Medicaid) of more than $900,000 over several years. Charging documents filed Tuesday state that three of the four defendants worked for a Minneapolis-based agency known as MN Professional … Read More

PHOENIX — A pair of women have been arrested and charged in connection with a dental office where unlicensed dentistry was being performed, according to sources and documents obtained by ABC15. Leidy Parra and Sandra Munoz have been charged with … Read More

NEW YORK, Aug 3 (Reuters) – A former National Basketball Association player was sentenced on Thursday to 10 years in prison after leading a “brazen” scheme involving at least 19 players to defraud a league health plan into paying millions … Read More

Americans need affordable, quality health care – and that’s extremely apparent in the wake of the COVID-19 pandemic, the biggest public health crisis in over a century. Finding good health care at the right price point should be a priority … Read More

RALEIGH, NC, USA, July 31, 2023/EINPresswire.com/ — DentalHQ, the leading software platform for successful dental membership plans, is pleased to announce its recent endorsement by the Texas Dental Association (TDA) Perks Program. DentalHQ will collaborate with TDA Financial Services, Inc. … Read More

AUSTIN (Nexstar) — Concerned employees at the Texas Health and Human Services Commission say Texans are at risk of losing their health insurance due to understaffing, insufficient technology, and “disheartening and unacceptable” leadership, according to an internal email shared with … Read More

For three years during the COVID-19 pandemic, people did not have to go through any kind of renewal process to stay on Medicaid. That changed in April, and now every state is winnowing its rolls — some much more quickly … Read More

The Office of the Attorney General of Texas (“OAG”) has secured justice for Texas taxpayers by investigating and prosecuting Dennis Damian Anugwom, owner of ambulance services company Union Healthcare Services. Anugwom was sentenced to 16 years of incarceration by a … Read More

Martin’s Point Health Care Inc. has agreed to pay nearly $22.5 million to settle allegations of submitting inaccurate codes for Medicare Advantage Plan enrollees, according to federal prosecutors. This settlement represents the largest Medicare fraud case in the history of … Read More

HOUSTON, Texas — A now defunct Texas-based clinical laboratory, BestCare Laboratory Services LLC, and its founder, Karim A. Maghareh, have agreed to pay an additional $5.7 million to settle an outstanding False Claims Act judgment, according to a recent announcement. … Read More

Kenric Wakeen Griffin, co-owner of Frisco-based New Horizons Durable Medical Equipment, was sentenced to four years of prison, followed by a year of supervised release for his role in a medical equipment fraud scheme. Griffin was also mandated to provide … Read More

NASHVILLE, Tenn., July 26, 2023 (GLOBE NEWSWIRE) — SmileDirectClub, Inc. (Nasdaq: SDC), the next-generation oral care company with the first medtech platform for teeth straightening, announced today the opening of eight new SmileShops in the UK and Ireland, with plans … Read More

AUSTIN, Texas – The Office of the Attorney General’s Medicaid Fraud Control Unit (“MFCU”) has arrested Lily Tran Daniel, Kenneth Reynolds, and Lillian Thai, who are associated with the genetic testing company ApolloMDx, for their involvement in a major healthcare … Read More

AUSTIN – Kenric Wakeen Griffin, co-owner of New Horizons Durable Medical Equipment based in Frisco, TX, was sentenced to 49 months of federal incarceration to be followed by a year of supervised release for his role in a medical equipment … Read More

Last Wednesday morning, a toddler arrived at the emergency department of UF Health Shands Hospital in Gainesville with a swollen jaw. When emergency doctor Brandon Allen examined the boy, he discovered the child’s teeth had rotted to the point that … Read More

AUSTIN – The Office of the Attorney General’s Medicaid Fraud Control Unit (“MFCU”) has arrested Lily Tran Daniel, Kenneth Reynolds, and Lillian Thai, who are associated with the genetic testing company ApolloMDx, for their involvement in a major healthcare fraud … Read More

During the COVID-19 pandemic, governments changed rules and procedures related to Medicaid enrollment. These changes decreased many of the burdens eligible people face when signing up for programs and contributed to a 30 percent increase in Medicaid enrollment. However, the … Read More

A federal jury in the Northern District of Texas convicted the owner of several compounding pharmacies today for paying illegal marketing kickbacks involving TRICARE, a federal program that provides health insurance benefits to active duty and retired service members and … Read More

Centene subsidiary Superior HealthPlan was awarded a new six-year contract to administer Texas’ Medicaid coverage for the aged, blind and disabled population. Superior HealthPlan has held contracts to administer the program since 2007, according to a July 26 news release. … Read More

The Texas OIG exclusions database is a list of excluded individuals and entities similar to the federal HHS OIG exclusion database. The primary difference between the two databases is that the Texas OIG exclusions database contains the names of individuals … Read More

At least 26 patients have accused a top Arkansas doctor of holding them against their will for days or weeks at a psychiatric unit, where they rarely received care and were given strong sedatives without their consent, NBC News reported. … Read More

For seven years, Maricela Delcid has guided Texans through the Medicaid application minefield, working past language barriers and documentation issues out of a community center in Houston. But her clients have never been more confused or frustrated than now, since … Read More

NORTHAMPTON, MA / ACCESSWIRE / July 21, 2023 / Marathon Petroleum Corporation: Dental schools in two states are reaching underserved populations with dental care they otherwise might not get as a result of grants from Marathon Petroleum Corporation. Funding in … Read More

HARLINGEN, TX—Rio Hondo’s own Laura Trevino is one of a number of Texas State Technical College’s Dental Hygiene Program students training to meet the need for workers in Texas. According to a recent American Dental Association report, the dental sector … Read More

Two brothers have joined five other South Florida residents in admitting to being part of a $67 million scam that targeted Medicare recipients to enrich themselves with federal funds. The guilty pleas came after four days of trial in the … Read More

SACRAMENTO — The owner of one of California’s largest chains of pain management clinics has agreed to pay nearly $11.4 million to California, Oregon, and the federal government to settle allegations of Medicare and Medicaid fraud. The U.S. Department of … Read More

Over the last four years, the State Comptroller’s Office has helped recover $73 million in improper Medicaid payments to New Jersey doctors, hospitals, nursing homes and other health care providers. Some of it involved legitimate billing errors uncovered in audits. … Read More

The National Health Care Anti-Fraud Association estimates that tens of billions of dollars per year are lost to healthcare fraud, including Medicare fraud. Many of these losses can be attributed to the fact that Medicare is required to pay medical … Read More

KNOXVILLE, Tenn. (WATE) — A Knoxville man was sentenced to two years in prison for a health care fraud scheme that caused Medicare to pay more than $400,000, according to the Department of Justice and the Federal Bureau of Investigation. … Read More